title: Evaluation of a randomized intervention to increase adoption of comparative effectiveness research by community health organizations.
abstract: This randomized controlled trial examined the influence of two strategies (informational packets alone and in conjunction with Webinars) aimed at increasing the adoption of motivational interviewing (MI), a patient-centered behavioral health practice supported by evidence from comparative effectiveness studies, among community health organizations responsible for delivering mental and behavioral health services. Data were obtained from 311 directors and staff across 92 community organizations. Hierarchical linear modeling was used to examine changes in decision to adopt MI. The mediating effects of multiple contextual variables were also examined. Results showed that both strategies positively influenced the decision to adopt. The positive impact on decision to adopt was significantly greater among individuals that received informational packets in conjunction with Webinars. Baseline attitudes toward evidence-based practices and pressures for change appeared to mediate this effect.
authors.affiliation: University of Miami School of Nursing and Health Studies, P.O. Box 248153, Coral Gables, FL, 33124-3850, USA, j.williams17@miami.edu.
authors.forename: Jessica Roberts
authors.initials: JR
authors.lastname: Williams
authors.forename: Weston O
authors.initials: WO
authors.lastname: Williams
authors.forename: Tracy
authors.initials: T
authors.lastname: Dusablon
authors.forename: Marissa Puckett
authors.initials: MP
authors.lastname: Blais
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Tregear
authors.forename: Duren
authors.initials: D
authors.lastname: Banks
authors.forename: Kevin D
authors.initials: KD
authors.lastname: Hennessy
mesh_terms: D003153:Community Health Services; D057186:Comparative Effectiveness Research; D003657:Decision Making; D004059:Diffusion of Innovation; D019317:Evidence-Based Medicine; D006801:Humans; D008297:Male; D062405:Motivational Interviewing / Q000379:methods*; D015397:Program Evaluation / Q000379:methods*; D016032:Randomized Controlled Trials as Topic; D057170:Translational Research, Biomedical